21 Claims Adjuster jobs in South Africa

Main job function
Engineering & Liability claims negotiator

The duties of this position include but shall not be limited to the following:

Operational:
1. Attending to own damage claims, liability and SASRIA claims (amongst others) in respect of Plant All Risk, Contractors All Risk, Machinery Breakdown & Business Interruption and Electronic Equipment (where applicable);
2. Actively manage and oversee start to end of claims function.
3. Contribute to the growth and profitability of the Company by providing excellent service and maintaining relationships.
4. Manage and organize day to day operations by establishing priorities to ensure registering, handling and settling of claims on Company’s delegated authority and at the same time maintain the standards of the claims department.
5. Controlling of registers, compliance with SLA’s, diary management, quantum, recoveries, salvage and secure proper claims maintenance.
6. Assess the claims internally.
7. Ensure all technical aspects for claims settlement are adhered to.
8. Negotiate settlement of the claims with all relevant stakeholders.
9. Daily diary files to be extracted and dealt with e.g. letters of demand, final notices reminders and follow-up assessors’ reports.
10. Processing payments on system:
a. Registering claims with the reinsurers/co insurers companies.
b. Facultative reinsurance & co-insurance recoveries.
c. Monitor and periodically review estimates.
d. Appointment of investigators, assessors, loss adjusters and other experts if necessary.
11. Negotiate discounts to reduce costs with repairers, service providers and partners, without compromising quality or harming client retention initiatives.
12. Attend to Third party claims in terms of the Contractors Third Party Liability cover.
13. Signing off third-party releases; and
14. Third Party recoveries.

Relationship Management:
1. Liaising in a professional manner with brokers and other insurers in respect of claims aspects:
a. Following up on regular intervals and providing constructive feedback to brokers and management.
b. respond to queries within 24 hours.
2. Work with different people internally and externally to improve service, efficiency, and improve presentation of information.
3. Actively build, improve and maintain relationships with all stakeholders, i.e. internally and externally

A Consultant will be in touch if you are shortlisted for the position. Please consider your application unsuccessful should you not have been contacted within 2 weeks. We will keep your CV on our database and contact you should you match the criteria of any other vacancies.

ServiceMaster Dynamic Cleaning is committed to helping our communities rebuild after a disaster, helping businesses get back to work, and helping our neighbors restore their homes to pre-loss conditions. Our company is locally owned and employs team members who live in the very communities we serve. We’re committed to helping make our neighborhoods whole again after the worst happens.

Benefits & Perks

• Competitive benefits and wages include:
  • Competitive wage plus bonus structure
  • Medical & Dental Benefits
  • 401K Matching Retirement Plan
  • Paid Time Off (Vacation, Sick, and Holidays)
• Growing company with opportunities for advancement for those who desire it
• Uniforms and Tools provided
• Option for a flexible schedule
• Paid training provided

Job Description

When the going gets tough, our Restoration Technicians step in to save the day. Our mission is -- and has always been -- to get people back to working order as quickly as possible. If you want to be in the business of making bad days better, if you're someone who likes working with their hands, being on the go, and never having the same day twice, then we have the perfect opportunity for you.

Job Responsibilities

• Performs hands-on property damage repair to include water extraction, pack-out of contents, removing/disposing of non-salvageable materials, light construction, demolition, and cleaning as directed by supervisor.
• Completes assigned jobs according to company processes while maintaining quality control on each job.
• Captures photo and video evidence and records data related to the project during various phases.
• Sets, monitors, and documents equipment used on projects to ensure its efficient and safe use.

Physical Demands and Working Conditions

• Move up to 70 pounds often, by lifting, carrying, pushing, pulling, or otherwise repositioning objects.
• Must be able to wear a respirator and safety gear when job conditions warrant

Disclaimer: The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. The Company reserves the right to modify this description in the future, with or without notice to the employee. This Job Description does not create an employment contract, implied or otherwise, and employment with the Company remains at will. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities.

ServiceMaster Dynamic Cleaning is committed to helping our communities rebuild after a disaster, helping businesses get back to work, and helping our neighbors restore their homes to pre-loss conditions. Our company is locally owned and employs team members who live in the very communities we serve. We’re committed to helping make our neighborhoods whole again after the worst happens.

Benefits & Perks

• Competitive benefits and wages include:
  • Competitive wage plus bonus structure
  • Medical & Dental Benefits
  • 401K Matching Retirement Plan
  • Paid Time Off (Vacation, Sick, and Holidays)
• Growing company with opportunities for advancement for those who desire it
• Uniforms and Tools provided
• Option for a flexible schedule
• Paid training provided

Job Description

When the going gets tough, our Restoration Technicians step in to save the day. Our mission is -- and has always been -- to get people back to working order as quickly as possible. If you want to be in the business of making bad days better, if you're someone who likes working with their hands, being on the go, and never having the same day twice, then we have the perfect opportunity for you.

Job Responsibilities

• Performs hands-on property damage repair to include water extraction, pack-out of contents, removing/disposing of non-salvageable materials, light construction, demolition, and cleaning as directed by supervisor.
• Completes assigned jobs according to company processes while maintaining quality control on each job.
• Captures photo and video evidence and records data related to the project during various phases.
• Sets, monitors, and documents equipment used on projects to ensure its efficient and safe use.

Physical Demands and Working Conditions

• Move up to 70 pounds often, by lifting, carrying, pushing, pulling, or otherwise repositioning objects.
• Must be able to wear a respirator and safety gear when job conditions warrant

Disclaimer: The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. The Company reserves the right to modify this description in the future, with or without notice to the employee. This Job Description does not create an employment contract, implied or otherwise, and employment with the Company remains at will. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities.

Our client in the Insurance / Financial Services industry is currently looking to employ a Senior Claims Investigation Manager based in Bryanston (Johannesburg).
A wonderful career opportunity awaits you.

Requirements:

• Completed Tertiary Qualification.
• Minimum of 5 to 10 years' experience in a similar or related role.
• Previous people management experience (Leadership Roles) - advantageous.
• Registration as a representative with the FSCA in terms of the FAIS Act – advantageous.
• Strong proficiency in Microsoft Excel and Internet navigation.
• Manage a high volume of claim reviews in a fast-paced environment.
• Ability to teach and coach junior team members.
• Time management.
• Results driven - history of consistently meeting targets.
• Ability to work under pressure.
• Analytical, negotiation, decision-making and problem-solving skills.
• Effective communication skills, both oral and written.
• Ability to work independently and as a member of a team.
• Strong process improvement and data analytics skills.
• Enjoy working within a team environment.

• Technical expert whose primary focus is driving a team of 5 desktop investigators (technicians) to achieve the required results.
• Oversight and management of the team.
• Conduct regular reviews of claims individually and collaboratively in teams to evaluate the claim process and investigation techniques.
• Ensure team members achieve set targets and maintain quality standards through monitoring and course correction of daily performance.
• Provide effective leadership to create a team committed to the overall vision of the company.
• Perform performance management, offering continuous feedback to employees on strengths and development areas.
• Responsible for capacity planning of the team.
• Motivate and inspire team members, fostering consistent high performance.
• Recommend and implement best practices to ensure adherence to company policies and insurance industry regulations throughout the claims investigation process.
• Maintain a strong professional knowledge of claims regulatory and legal environments.
• Serve as a claims technical resource, providing guidance and support to desktop claim investigators.
• Coach or train less experienced desktop claim investigators and contribute to shaping training for the claims teams.
• Provide insights and enhancements to the claims process.

Monthly

• Prepare accurate cost estimates, budgets, and tender documentation
• Manage project finances, including valuations, variations, and final accounts
• Liaise with clients, contractors, and suppliers
• Monitor project progress and control costs to ensure profitability
• Provide regular financial reports and risk assessments
• Ensure compliance with relevant building regulations and contract terms

• BSc or NDip in Quantity Surveying or related field
• Minimum 35 years experience in the building industry
• Solid understanding of commercial, residential, and public sector construction
• Strong analytical and negotiation skills
• Proficient in cost management software and MS Office
• Excellent communication and reporting abilities
• Valid drivers licence and own transport preferred

About the Company:

Pacific International Insurance is a licensed general insurance provider, offering reliable coverage for policyholders across Australia and New Zealand. Our diverse range of personal and business insurance solutions includes motor vehicle, pet, mobility equipment, professional indemnity, and general liability insurance.

About the Product:

PD Insurance AU offers award-winning, affordable, and high-value pet and car insurance coverage.

The Opportunity:

Are you a customer-focused, energetic, and passionate individual? We are on the hunt for a Claims Consultant to join our vibrant call centre team in George. This is your chance to make a real impact and be part of a dynamic team!

What’s the overall purpose of this position?

In exchange, we will provide you with a fun and collaborative team environment, a supportive management system and the motivation to reach your full potential! ?

Some of the benefits:

• Competitive basic monthly salary with company benefits and contributions.
• Employee loyalty and long service rewards.
• Professional company branded gear.
• Health benefits: exciting offers from our Lifestyle department to keep you fit and healthy!
• On-site coffee shop and restaurant dedicated to our employees.
• Training and development: all newbies undergo a training programme to equip you with the knowledge and tools to thrive in your role.
• Working hours that provide you with more flexibility during the day.
• Company transport available to the office.

Working hours:

• Mondays to Fridays: 03h30 – 11h00 AM OR 00h00 – 07h30 AM (2 rotational shifts)

These working hours accommodates our clients and colleagues in Australia and New Zealand. Providing you with more flexibility during your day!




We would love to receive your application if you meet the following requirements:

• Completed Grade 12 / National Senior Certificate.
• Excellent written and verbal communication skills in English. You will need a clear English accent and be able to understand the whacky Aussie and New Zealand accents!
• Intermediate level computer skills.
• Prior experience in a customer service orientated position.
• Strong attention to detail, organisational and administration skills.
• Willing to work “night-shift” hours (to accommodate the Australian and New Zealand operating hours of clients and colleagues).
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Other skills that would be advantageous:

• Previous experience handling insurance claims or working in a financial services institution.
• Skills in negotiation, persuasion and investigation with customers and service providers.
• Sound interpersonal skills, building rapport with customers and service providers.
• Skilled in asking probing questions and gaining detailed information to support claims handling.

• Make and receive calls to clients
• Gather and follow up all info and documents required to register claims
• Advise on claims under what section covered on policies
• Interact and follow up with Insurers
• Involvement with claims intermediary service (Client satisfaction)
• Follow claims through to Agreement of Loss and signed by client
• Use logic and intellect to ensure customers are treated fairly
• Build trust-based relationships with clients

Key Skills and Competencies:

• Good verbal and written communication skills at all levels
• Computer literate in Microsoft Office and internet
• Self-discipline and time management
• Punctuality

Candidates must have the following qualifications:

• Grade 12

Competence:

• Experience (1+ Years in industry)
• Class of Business completed for STI Personal and Commercial lines
• Operational Ability
• Product Specific Training

The following additional factors will be to your (Candidates) advantage:

• Experience on SANTAM online system
• Product specific training completed with main players in insurance industry: Santam, Old Mutual, Momentum (Previously Alexander Forbes), Bryte et

Main characteristics / strong points for candidates:

• Good verbal- and written communication skills at all levels
• Computer literate in Microsoft office and internet
• Self-discipline and time management
• Punctuality
• Make and receive calls to clients
• Gathering and follow up all info and documents required to register claim.
• Advise on claims under what section covered on policies.
• Interaction and follow up with Insurers
• Involvement with claims intermediary service (Client satisfied).
• Follow claim through to Agreement of Loss and signed by client.
• Logic and intellect to ensure customers treated fairly.
• Build relationships (Trust) with clients